Tympanostomy tubes for children with acute otitis media

Griffiths, Justin L; Goldman, Ran D.

doi:10.46747/cfp.6805345

Cited by 4 publications

(4 citation statements)

References 18 publications

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“…5 It easily occurs in young children due to the anatomy of their Eustachian tube (ET) -their ET is more flexible, horizontal, and shorter, allowing for easier entry of pathogens of nasopharyngeal origin into the middle ear. [6][7][8] The ET protects the middle ear cavity through ventilation, by clearing middle ear fluid and stopping nasopharyngeal pathogens from entering the middle ear, thus serving as a natural barrier. 1,2,6,9 The range of infective agents associated with OM include fungi, viruses, and more predominantly, bacteria.…”

Section: Introductionmentioning

confidence: 99%

Distribution and Antimicrobial Resistance Profiles of Bacterial Aetiologies of Childhood Otitis Media in Accra, Ghana

et al. 2022

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Background: Otitis media (OM), also known as middle ear infection, is a clinically significant childhood disease. In sub-Saharan Africa, there is a paucity of contemporary reports on it is bacterial aetiologies and antimicrobial resistance among them. Aim: To investigate the OM bacterial aetiologies and their antimicrobial resistance patterns among children visiting the Ear, Nose, and Throat clinics of 3 healthcare facilities in Accra, Ghana – Princess Marie Louise Children’s Hospital, 37 Military Hospital, and Mamprobi Hospital. Methods: This cross-sectional study involved 100 children below 13 years old with suppurative otitis media. Following standard bacteriological methods, sterile ear swabs were used to take middle ear discharges from the study participants for culture and antimicrobial susceptibility testing. A standard questionnaire was also used to collect data on socio-demographic and clinical characteristics. Results: The major OM bacterial aetiologies were Pseudomonas aeruginosa (38.5%), Klebsiella pneumoniae (19.8%), Proteus mirabilis (11.5%), and Staphylococcus aureus (10.4%). The majority of the bacteria demonstrated low to moderate resistance (0%-33.3%) to most of the antibiotics. Eight of the bacteria (4 each of Klebsiella pneumoniae and Escherichia coli) were extended-spectrum beta-lactamase (ESBL) producers; 6 ampicillinase (Amp C)-producing organisms (4 Citrobacter spp. and one each of Morganella morganii and Serratia marcescens) were also identified, and they showed high antibiotic resistance. Conclusions: The predominant OM aetiologies were Pseudomonas aeruginosa, Klebsiella pneumoniae, Proteus mirabilis, and Staphylococcus aureus, and they were generally susceptible to most of the antibiotics tested. Amikacin, cefepime, ciprofloxacin, and meropenem could be valuable in the empirical management of childhood OM.

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Section: Introductionmentioning

confidence: 99%

Distribution and Antimicrobial Resistance Profiles of Bacterial Aetiologies of Childhood Otitis Media in Accra, Ghana

et al. 2022

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“…However, only 30–40% of the children who first use a short-acting tube later require a second TTI. Additionally, the incidence of otorrhea and the permanent perforation of the tympanic membrane increase after the placement of the long-acting tube ( 8 ). Thus, the short-acting tube is recommended for most children.…”

Section: Discussionmentioning

confidence: 99%

Comparing of anteroinferior and posteroinferior tympanostomy tube insertion: a cohort study

Ma¹,

Liu²,

Lv³

et al. 2022

Transl Pediatr

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Background: Tympanostomy tube insertion (TTI) is one of the primary treatments for Otitis media with effusion (OME) in children, a common condition in children. However, there is still no conclusion on the better choice of tube position, and no relevant research has been found in the literature. This study analyzed the results of the two commonly selected tube insert positions, anteroinferior quadrant (AQ) and posteroinferior quadrant (PQ), in order to determine which is the better choice.Methods: Children with bilateral OME who received TTI in Beijing Tongren Hospital from May 2020 to January 2021 were selected as subjects. one side on AQ and the other side on PQ randomly. Follow-up visits were arranged at 1 week, 1 month, 6 months and 12 months after surgery. The results of audiology and the tube status of the two positions were recorded and compared statistically.Results: A total of 90 patients with bilateral OME were selected. There was no difference in preoperative hearing between the 2 groups. The AQ group's average air conduction threshold was significantly higher than that of the PQ group 1 week after surgery. Although there was no significant difference in tube fall-off rate between the two groups within 6 months, it was significantly higher in AQ group than that in PQ group at 12 months after surgery.Conclusions: Compared to TTI on AQ, TTI on PQ is more stable and better improves hearing, and the operation is also more convenient for surgeons. This study provides reference for a better position of TTI in OME therapy.

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“…This is a challenging diagnosis to make largely because of the nonspecific symptoms of otalgia, otorrhea, fever, and hearing loss. Additionally, the clinical course with antibiotics for otitis media is often short with few complications, and physicians may overlook possible complications (62). Still, immunocompromised patients and those who live in areas without access to proper antimicrobial treatment may continue to be at risk of developing more serious sequelae.…”

Section: Discussionmentioning

confidence: 99%

A Systematic Review of Cases with Bezold’s Abscess

et al. 2022

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ObjectiveThe objective for this systematic review is to characterize clinical presentations of Bezold’s abscesses to improve awareness and promote earlier diagnoses and prompt intervention in this increasingly rare otologic infection.Data sourcesPubmed/Medline, CINAHL (EBSCOhost), and Web of Science articles in all languages were searched.Study selectionInclusion criteria were that the article was either a case report, case series, or retrospective review with individual case data available. Non-English articles were excluded if they lacked an English language abstract and if that abstract lacked information on baseline demographics, clinical presentation, and management.Data extractionIncluded studies were evaluated using fulltext review and demographics, etiology, microbiology, antibiotic usage, and surgical variables were collected.Data synthesisData were qualitatively synthesized, with means and averages obtained for all continuous variables.ConclusionsBezold’s abscess remains a rare otologic infection, but they are relatively commonly associated with serious neurologic and systemic complications. Delay in diagnosis was a frequent commonality and diagnostic vigilance is tantamount in avoiding this sequelae. Aggressive surgical extirpation and long-term antibiotic treatment is recommended.

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Tympanostomy tubes for children with acute otitis media

Cited by 4 publications

References 18 publications

Distribution and Antimicrobial Resistance Profiles of Bacterial Aetiologies of Childhood Otitis Media in Accra, Ghana

Distribution and Antimicrobial Resistance Profiles of Bacterial Aetiologies of Childhood Otitis Media in Accra, Ghana

Comparing of anteroinferior and posteroinferior tympanostomy tube insertion: a cohort study

A Systematic Review of Cases with Bezold’s Abscess

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